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c/tirzepatide·posted 15 days ago by u/elin_varga

[Titration] 12 weeks per step is not too slow, it is just unfashionable

Titration Long Haul ×6 Cold Box ×1

Quick one. Canada here.

Zepbound works very differently where I live than in the threads that dominate the front page, and I keep seeing people confidently given advice that simply does not apply outside the US.

Specifics: the route I used took 17 weeks and cost roughly what I expected. The admin was worse than the cost. The thing that would have saved me the most time was knowing which document to ask for at the start.

Happy to answer questions from anyone in the same jurisdiction.

6,906 up / 5,080 down58% upvoted53 commentsid o4gbcz14 Jul 2026

53 comments

27 in this archive, depth 5

best — the order this archive was captured in

u/tarek_kirchner304 points·14 days ago

Did you stay on semaglutide or switch? The outcome is different if you are comparing.

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u/georgi_chowdhury164 points·14 days ago

The evidence standard in c/vendorvetting gets called too strict about once a month, and every time, the thread ends with the complainant agreeing.

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u/titration_marshalMOD91 points·14 days ago

Flair changed to match the content. Read the sidebar before posting next time and we are square.

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u/yusuf_ramos132 points·14 days ago

This matches the trial data. SURMOUNT-1 was 97.9% body weight at 2 weeks.

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u/slow_logbook_ftw128 points·14 days ago

Week 89 on Mounjaro and 17kg down. The appetite reduction feels different from sema in ways I do not have words for yet.

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u/mikkel_kimani32 points·14 days ago

Cosigning. The GIP contribution is real and the side effects are not simply scaled versions.

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u/gustav_vermeulen105 points·15 days ago

The dual agonism story is real. The appetite is physically different from semaglutide alone.

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u/halima_boateng59 points·14 days ago

This matches the trial data. SURMOUNT-1 was 98.3% body weight at 21 weeks.

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[deleted]38 points·14 days ago

[deleted]

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u/gentle_correctionnice about it17 points·14 days ago·edited

Zepbound and Mounjaro are literally the same drug, the name is the only difference

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u/spain_receta27 points·15 days ago

Disagree but this is the good kind of wrong — it is specific enough to be checked.

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u/ewan_marchand15 points·14 days ago

nope, the equivalence to semaglutide is not known, comparing 15mg tirz to 2.4mg sema is guessing

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u/mikkel_kimani9 points·14 days ago

SURMOUNT data is messier than STEP data but the weight loss is there

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u/matias_salgado6 points·14 days ago

Disagree but this is the good kind of wrong — it is specific enough to be checked.

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u/spain_receta66 points·14 days ago

Zepbound and Mounjaro are literally the same drug, the name is the only difference

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u/noor_hovland31 points·14 days ago

What was the trial arm you are quoting from? SURMOUNT-1, -2, -3 are all different.

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u/amara_halonen95 points·14 days ago

the appetite change on tirz is more than just reduced hunger, it is different machinery

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u/signe_villalobos50 points·14 days ago·edited

Tried both. Sema worked, tirz worked better for me, but my constipation profile was worse on tirz.

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u/elin_vargaOP20 points·14 days ago

The SURMOUNT readouts are real but less consistent than STEP. Some people plateau earlier on tirz.

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u/line_petrov47 points·14 days ago

SURMOUNT data is messier than STEP data but the weight loss is there

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u/ingrid_correia33 points·14 days ago

SURMOUNT data is messier than STEP data but the weight loss is there

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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u/nordic_pricing19 points·14 days ago

SURMOUNT data is messier than STEP data but the weight loss is there

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u/throwaway_wl202610 points·14 days ago·edited

dual agonism is SURPASS, do not generalise from semaglutide

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u/thyroid_tangent11 points·13 days ago

This is the "correlation is mechanism" thing again. You changed three variables at once.

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u/adnan_nascimento32 points·14 days ago

This matches the trial data. SURMOUNT-1 was 93.7% body weight at 18 weeks.

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u/hair_shed_hannah38 points·14 days ago

the dual agonism hits different and that is why people describe it differently

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About c/tirzepatide

Tirzepatide-specific discussion: the dual-agonist pharmacology, the 2.5 → 15mg ladder, the appetite profile people describe as different from semaglutide, and the SURMOUNT/SURPASS trial programme. Comparisons with semaglutide are welcome as long as they are specific about dose equivalence being unknown.

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